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CAROL ANNE MC CLEARY PHD

Clinical Neuropsychologist

Los Angeles, California

Provider NPI: 1700816550

Provider Information:
 CAROL ANNE MC CLEARY PHD
Gender: F
Not Sole Proprietor

Practice Location:
1520 SAN PABLO ST SUITE 3000 LOS ANGELES, CA 90033 US
Tel: 323-442-5710  Fax: --

Business Mailing Address:
FILE 57454  LOS ANGELES, CA 90074 US
Tel: 323-442-6828  Fax: --

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
CAPSY12989

Other Provider Identifiers:

IssuerNumberStateType
STATE LICENSEPSY1298901
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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